Declaration (To be completed by parents/guardians of participants under the age of 18):

Please read the following statement and check the following box to confirm your agreement. *

I certify that the participant is physically fit and is participating in the event at own risk and responsibility. I hereby explicitly agree the participant shall abide by all rules and conditions of the Organizer. I hereby discharge the organizer and any other individuals or organization connected directly or indirectly with this course from any responsibility in the course of loss of property, injury or death incurred during, as a consequence of or while travelling to or from the course. The participant also agrees to grant the rights to the usage of the images of the participants for future events or promotions of the HKHA.

Name of Parent/Guardian *

HKID No. *

(First 4 digits)

Contact No. *

Remarks

The Hong Kong Hockey Association reserves the right to amend the date and time of the training courses in the event of inclement weather, pitch conditions or other unexpected circumstances. Information provided will only be used for events organized by the HKHA. Please contact us if you have questions. If you do not wish to receive any further information on our courses or events, please put a tick in this box.